Organization
GRACE DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A HANNA D.M.D. (PRESIDENT/OWNER)
(508) 875-0400
Entity
Organization
Contact information
Practice address
55 MAIN ST, SUITE #5, FRAMINGHAM, MA 01702-2934
(508) 875-0400
(508) 875-0408
Mailing address
55 MAIN ST, SUITE #5, FRAMINGHAM, MA 01702-2934
(508) 875-0400
(508) 875-0408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20011
MA
Other
Enumeration date
07/22/2006
Last updated
11/03/2010
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